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    Hospice Code

    - I do not agree with Flight LP here with one thing. While my system would have never let us "pull the tube", if your medical control doctor does advise you to do this as per family decision... it is not murder. Failing to follow this decision would be FELONY ASSAULT AND BATTERY. Very good...
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    Hospice Code

    Hello everyone... I ran into a very unusual thing last week at work. We were dispatched out to a 59 yof, possibly not breathing. When we got there, was an EMT already on the scene, working a code. When I walked in, I found a lady laying in a hospital type bed, with CPR in progress. The EMT...
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    Little Witches!!

    My supervisor was selling them for his wife who is involved in this epidemic. I bought 2 boxes from him. My niece called me, and I bought a box from her... I was at home minding my own business, the door bell rang... 3 little munchkins... I had to buy 3 boxes!!! I went to the store... I say a...
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    Stoma crisis

    Very good information you covered here! Thanks. The chances of me having this patient is very great as she is in the nursing home in our call area. This is one of those type patients you don't see enough to keep you memory up on how to successfully treat them. Interesting enough, she did not...
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    How does this work exactly

    If he is starting IV's and doing different things as such in the hospital setting, then they can call him a Tech and it is totally legal. I work for a trauma center where we have EMT-B's starting IV's and doing all kinds of things. They have to go through classes to be able to do each skill...
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    VA to PA License

    I don't know about PA, but I know that alot of VA providers how certifications in NC. It's all going to depend on what the state requirements are. For example... NC has a lower standard for certification levels than VA. You can take a VA EMT- I course and go to NC and work as an I, you just...
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    transitioning from EMT to Medic

    I'd say that the biggest thing about going from BLS to ALS is learning to think as an ALS provider. You start to look at things a little differently... you learn to disect things out...you are not just picking up your patients and transporting to the ER anymore, you are now going in depth and...
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    Stoma crisis

    Hello everyone! I've been away from EMT life for a while and thought I would post tonight. I ran an interesting call the other day and thought I would share. We are called to the nursing home for a patient having difficulty breating. UOA, we found a 62 year old female patient cyanotic...
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    What would you do?

    Well... you have a delima here... or well... not really a delima. Here is what I would do... and don't hold what I would to as to what you should do... but here goes.... First of all... yes... it's HIPPA!!!! Secondly... it may sound cold hearted... but... it's not your emergency... and...
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    What made you want to be a Medical First Responder or EMT?

    I had a best friend from birth on through my childhood, we were the same age. When we were 16, she was killed in a car accident. It threw my world upside down. How was I going to hang with? Who was I going to talk to when I needed someone to confide in? Who would be there for me the...
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    Fluid resuscitation

    Wouldn't you consider it aggressive if a provider get's ahead of the game verses setting there twiddleing thier thumbs waiting for the next problem to happen? Man come on!!! You just want to argue! Let's stop this thrashing!!! You are not God, stop trying to make people think that you are! LOL
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    Co2

    Nope... not Ridryder... NEVER an EMT!!! That would be a discrase on his part for anyone to ever be able to figure out that he was not always the seen all known all Paramedic, NP, and whatever else his merrit badges says!!! LOL
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    Medications EM-B's can use.

    You would be greater respected if you would stop bashing people, and trying to talk down. Heck, you even use dialog as if you were writing a text book instead of talking to us as people. As far as Virginia having a good EMS system, I think it could stand improvement, just like all states...
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    Fluid resuscitation

    Rid, my diffinition of aggressive treatment is when you don't withhold treatment and when you get ahead of the game before that game beats you. Now, some providers I know would have placed a lock instead of hanging a bag of fluid. Some would have just hung the bag and kept the rate at KVO. I...
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    You have a call.... try this one

    It was septic shock
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    Duty to the company...

    Interesting enough, Richmond Ambulance Authority hires "Ambulance Techs", the only certification they have to have is CPR. These people are hired to do nothing but detail and stock the ambulances. The providers only have to clean the trucks between calls at the ER when they drop a patient. If...
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    Fluid resuscitation

    We are very agresive with everything... or atleast we were taught to be. Some are not. For this situation, I would establish an IV line, listen to lung sounds, if clear, go ahead and give a 500cc fluid bolus, then run @ KVO, if there is an improvement. We only cary Normal Saline on our...
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    Medications EM-B's can use.

    I wish you would just stop bashing those of lower certification level than you. I think everyone is well aware of your belief on training verses education. I just don't understand why you are still in EMS or even in the forum if you don't respect those in the field. We all from Paramedic down...
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    Pedi Nose Bleeds

    Does anyone know why an 8 year old would often have nose bleeds? This is my son and he has been having them alot lately. Anyone ever experienced this with thier children?
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    Co2

    Lots of times we must do things in the field that we don't like. Intubation is not a matter of weather you like it or not, it is a necessity tool of the trade! If you are an I and don't find it important enough to secure your patient's airway, then you might as well drop back to a B, however...
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